Document Detail

Clinical utility of electrogastrography and the water load test in patients with upper gastrointestinal symptoms.
MedLine Citation:
PMID:  17159331     Owner:  NLM     Status:  MEDLINE    
We assessed gastric myoelectric functioning in patients with various gastrointestinal symptoms and to determine the utility of electrogastrography in differentiating specific disease entities. Electrogastrography with a water load was performed in 101 patients with reflux disease, 55 patients with active gastric ulcer, 59 patients with functional dyspepsia, and 30 controls. Upper gastrointestinal symptoms were assessed in each patient. Electrogastrography was abnormal in 41 (40.6%) patients with reflux disease, 31 (56.4%) patients with active gastric ulcer, and 26 (44.1%) patients with functional dyspepsia (P=NS). Water load tolerance was greater in controls than any patient group (all P<0.05). Symptoms predicted abnormal electrogastrography in reflux patents with satiety (OR=2.9; P<0.05) and in dyspeptic patients with nausea (OR=3.1; P<0.05). Although electrogastrography is helpful in differentiating subgroups of patients with nausea or satiety, it cannot directly differentiate disease states such as reflux disease, gastric ulcer, and functional dyspepsia.
Chien-Lin Chen; Chi-Tan Hu; Hsien-Hong Lin; Chih-Hsun Yi
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of smooth muscle research = Nihon Heikatsukin Gakkai kikanshi     Volume:  42     ISSN:  0916-8737     ISO Abbreviation:  J Smooth Muscle Res     Publication Date:  2006 Oct 
Date Detail:
Created Date:  2006-12-12     Completed Date:  2007-02-27     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9211664     Medline TA:  J Smooth Muscle Res     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  149-57     Citation Subset:  IM    
Department of Medicine, Buddhist Tzu Chi General Hospital and University School of Medicine, Hualien, Taiwan.
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MeSH Terms
Diagnosis, Differential
Dyspepsia / diagnosis*,  physiopathology*
Electrodiagnosis / methods*
Gastroesophageal Reflux / diagnosis*,  physiopathology*
Myoelectric Complex, Migrating / physiology*
Nausea / etiology
Stomach Ulcer / diagnosis*,  physiopathology*
Water / diagnostic use*
Reg. No./Substance:

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